Individual
DR. CHARLES J. BALDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
511 BROOKWOOD BLVD, BIRMINGHAM, AL 35209-6801
(205) 879-6880
(205) 879-6884
Mailing address
511 BROOKWOOD BLVD, BIRMINGHAM, AL 35209-6801
(205) 879-6880
(205) 879-6884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4140
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51076418
BCBS
AL
Enumeration date
04/14/2007
Last updated
07/08/2007
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